Nominate somebody for a Best in Care Award

Home
- Hospital information
  - Awards
    - Best in Care Awards
      - Nominate somebody for a Best in Care Award

Browse site A – Z

Your views

Your feedback is vital to us as we continue to increase the quality of our services.

Your views

You are here:

Date: 20 June 2013

Time: 06:57

Nominate somebody for a Best in Care Award

Please use the form below to nominate the individuals or teams who you think deserve their moment in the spotlight.

You can nominate any number of people or teams, but you may only nominate each of these once.

Nominations close on Friday 31 July 2013.

Please check the nomination criteria before you complete the form.

Nomination criteria

All fields marked * must be completed.

Please note, you can't use this form to nominate somebody for a Governors' Customer Care Award. To nominate an individual or team for this award, please use the Customer Care Award nomination form.

Governors' Customer Care Award information and nomination form

Please note that the contents of this form will not be encrypted upon submission. If you would prefer not to use this form to submit your information, please email Awards@uhb.nhs.uk.

Your name: *

Your contact number: *

Your email address: *

Your mobile number (optional):

What's the best time to contact you?

Name of individual or team you would like to nominate: *

Ward/department of nominee: *

Hospital site where nominee is based:

Please enter the area the nominee is from (if known):

Telephone number of nominee (if known):

Email address of nominee (if known):

Governors' Customer Care Award information and nomination form

For which award would you like to nominate this individual or team?
Not sure which category to nominate in? Then nominate in the general category and we will do the rest!

If you have a picture of your nominee or would like to upload a video nomination, please use the attach button below. Please ensure you have obtained consent of each person in your photograph.

In no more than 100 words, please give a reason for your nomination *

Awards categories and criteriaAll the categories for the Best in Care Awards, and criteria for your nominations.